| M.w. Kilgore, Ii, M.d., P.a. | |
|
11363 San Jose Blvd Suite 102 Jacksonville FL 32223-7957 | |
| (904) 396-2400 | |
| (904) 396-3750 |
| Full Name | M.w. Kilgore, Ii, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11363 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Manley W Kilgore (PHYSICIAN) |
| Authorized Official Contact | 9043962400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.w. Kilgore, Ii, M.d., P.a. 11363 San Jose Blvd Suite 102 Jacksonville FL 32223-7957 Ph: (904) 396-2400 | M.w. Kilgore, Ii, M.d., P.a. 11363 San Jose Blvd Suite 102 Jacksonville FL 32223-7957 Ph: (904) 396-2400 |
| NPI Number | 1821284589 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821284589 | NPI | - | NPPES |
| 059854200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME17133 (Florida) | Primary |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |